CONSERVATIVE MANAGEMENT OPTIONS FOR CERVICAL PREGNANCY - CASE-REPORTSAND LITERATURE-REVIEW

Objective - To describe three cases of cervical pregnancy treated succ essfully with different conservative methods and review the literature on conservative treatment of cervical pregnancy over the last 30 year s. Method - Three patients treated conservatively for cervical pregnan cy are reported. The literature regarding the conservative management of cervical pregnancy since 1965 was compiled using a MEDLINE search f or articles published since 1980 and by reviewing the reference lists of published manuscripts. Results - Three cases of cervical pregnancy were successfully treated using methotrexate with leucovorin rescue, m ethotrexate without leucovorin rescue, and curettage after angiographi c embolization of the right hypogastric and left uterine arteries. Rev iew of conservatively managed cases of cervical pregnancy since 1965 i ndicates that medical management with methotrexate and preoperative an giographic embolization of the uterine blood supply, when appropriate, results in successful treatment without the need for transfusion. Con clusions - Clinical suspicion of cervical pregnancy early in gestation with preoperative diagnosis may safely allow conservative treatment. Different clinical scenarios may preclude or limit which conservative management options are best for each case.